Mountain City Rehab Center
48 Tarn Terrace · Frostburg, MD · 21532 · 3016891391
88 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $48,227 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.34 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 3 · $48,227 |
Inspection citations (65 in the current record)
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Potential for harm · D March 6, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D March 6, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D March 6, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · E March 6, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 30, 2026 · Resident Rights
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Potential for harm · D March 6, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 30, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 6, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D March 6, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D March 6, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D March 6, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 30, 2026 · Quality of Life and Care
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Potential for harm · D March 6, 2026
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 30, 2026 · Pharmacy Service
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Potential for harm · D March 6, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected April 30, 2026 · Infection Control
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Potential for harm · D March 6, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G November 7, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 7, 2026 · Quality of Life and Care
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Potential for harm · D November 7, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 7, 2026 · Resident Rights
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Potential for harm · D November 7, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 7, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 7, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 7, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 7, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 7, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected January 7, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 7, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 7, 2026 · Quality of Life and Care
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Potential for harm · E November 7, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected January 7, 2026 · Administration
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Immediate jeopardy · J November 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 6, 2022 · Quality of Life and Care
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Actual harm · G November 26, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 31, 2025 · Quality of Life and Care
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Potential for harm · D November 26, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected December 20, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 7, 2025 | Fine | $15,106 |
| November 26, 2024 | Fine | $16,559 |
| November 26, 2024 | Fine | $16,562 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 215277 · certified since August 17, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.